| NPI | 1871036046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-23182) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT 23182) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2024-03-29 |